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Biomedical subjects

A D Spiegel

Publications and source records attributed to A D Spiegel.

17 recordsLinked to original sources

The role of a physician in the composition of the Star Spangled Banner.

Incidental interactions between Dr. William Beanes, Francis Scott Key and British Rear Admiral George Cockburn led to a magical moment in U.S. history. During the War of 1812, Cockburn abducted Beanes and imprisoned him in the ship's brig. Key agreed to try to gain Beanes release since he was a civilian. Under a flag of truce, Key went to the British flagship anchored in Maryland's Chesapeake Bay. Although the British agreed to release Beanes, they detained Key because he overheard their plans to attack Baltimore's Fort McHenry. Under guard on a small boat in the harbor, Key watched as the British bombardment continued all through the night. Inspired by the Americans' gallant defense, Key scribbled the immortal words of the national anthem on the back of an old letter. If the British Red Devil had not imprisoned the elderly physician, the reluctant soldier might never have written the stirring poem.

Baltimore

Was it murder or insanity? Reactions to a successful paroxysmal insanity plea in 1865.

This 1865 Harris/Burroughs trial marked the first time that the paroxysmal [temporary] insanity plea was supported by expert medical testimony in a U.S. courtroom. Jurors agreed that the female defendant was insane at the time of the shooting due to being "crossed in love and suffering from painful dysmenorrhea." Attitudinal stances of the legal system, health professionals, newspapers and the public are illustrated. By merely changing the antebellum language, the reactions could be recycled into our current tabloid newspapers and titillating TV programs as if the tragedy occurred yesterday.

Adolescent

Not guilty of murder by reason of paroxysmal insanity: the "mad" doctor vs. "common-sense" doctors in an 1865 trial.

In July 1865, the Harris/Burroughs trial marked the first time in a U.S. courtroom that expert medical testimony supported a plea of paroxysmal [temporary] insanity in a murder defense. Furthermore, the "medical expert" ["mad doctor"] was pitted against "common-sense" physicians. Forensic rationales and societal reactions of the 1860s appear to be remarkably similar to what happens in the 1990s. By merely changing the antebellum language, the arguments and ripostes could readily be recycled into current temporary insanity confrontations. Sociocultural aspects of the Harris/Burroughs murder case may yield clues as to the persistence of the forensic and attitudinal stances toward temporary insanity pleas by the mass media, the physicians, the legal profession and the public.

Expert Testimony

The debate over diagnosis related groups.

With the advent of the Prospective Payment System (PPS) using Diagnosis Related Groups (DRGs) as a classification method, the pros and cons of that mechanism have been sharply debated. Grouping the comments into categories related to administration/management, DRG system and quality of care, a review of relevant literature highlights the pertinent attitudes and views of professionals and organizations. Points constantly argued include data utilization, meaningful medical classifications, resource use, gaming, profit centers, patient homogeneity, severity of illness, length of stay, technology limitations and the erosion of standards.

Attitude of Health Personnel